Takotsubo Cardiomyopathy Following Traumatic Hand Amputation: A Case Report

Academic Article

Abstract

  • Introduction: Takotsubo or stress cardiomyopathy is a syndrome of transient left ventricular systolic dysfunction seen in the absence of obstructive coronary artery disease. Case Report: We describe a case of stress cardiomyopathy diagnosed in the emergency department (ED) using point-of-care ultrasound associated with traumatic hand amputation. The patient suffered a near-complete amputation of the right hand while using a circular saw, subsequently complicated by brief cardiac arrest with rapid return of spontaneous circulation. Point-of-care ultrasonography in the ED revealed the classic findings of takotsubo cardiomyopathy, including apical ballooning of the left ventricle and hyperkinesis of the basal walls with a severely reduced ejection fraction. After formalization of the amputation and cardiovascular evaluation, the patient was discharged from the hospital in stable condition 10 days later. Conclusion: Emergency physicians should be aware of the possibility of stress cardiomyopathy as a cause for acute decompensation, even in isolated extremity trauma.
  • Digital Object Identifier (doi)

    Author List

  • Bacro-Duverger BH; Thorburn AQ; Denney BD; Gullett JP; Thompson MA; Pigott DC
  • Start Page

  • 225
  • End Page

  • 228
  • Volume

  • 6
  • Issue

  • 3